Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $141.25	Facility		$56.23	$112.20	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $61.66	Professional		$56.23	$56.23	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $58.88 / $181.97	Facility		$56.23	$58.88	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $56.23	Facility		$52.48	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $72.44	Professional		$56.23	$56.23	$72.44